Individual
ANN CONRAD
Active
Individual
ANN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN248447
OH
363LA2200X
Adult Health Nurse Practitioner
266285
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
COA-12162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054699
—
OH
01
—
024630
MEDICARE
NC
Enumeration date
04/21/2010
Last updated
01/15/2021
Update your record
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